Organization Active NPI

City of Webster Groves

  • Land Ambulance
  • Webster Groves, MO
National Provider Identifier
1265415111
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
189375 Issued in MO
Legal business name
CITY OF WEBSTER GROVES
Practice address
6 S Elm Ave
Webster Groves, MO 63119-3016
Phone
(314) 963-5328
Fax
(314) 962-4504
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Bainter
Title
Assistant Chief
Phone
(314) 963-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 189375 MO Primary

Addresses

Primary practice location

6 S Elm Ave
Webster Groves, MO 63119-3016

Mailing address

6 S Elm Ave
Webster Groves, MO 63119-3016
Phone (314) 963-5328

Other identifiers 5

IdentifierTypeStateIssuer
826590274OtherRAILROAD MEDICARE
15668OtherGROUP HEALTH PLAN
29746OtherBLUE CROSS BLUE SHIELD
808718803MedicaidMO
81-81264OtherUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000813 MO Part B Supplier - Ambulance Service Supplier 0244267508 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1000004City of Webster Groves Fire and EMS Dept#6 South Elm, Webster Groves, MO 63119Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Locations

6 S Elm Ave
Webster Groves, MO 63119
Phone (314) 351-4702

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1265415111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193016",
            "telephone_number": "314-963-5328",
            "fax_number": "314-962-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193016",
            "telephone_number": "314-963-5328",
            "fax_number": "314-962-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEBSTER GROVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "BAINTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "314-963-5328"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MO",
            "license": "189375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "826590274",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "15668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29746",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808718803",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "81-81264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.